Individual
ROLANDA O STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1354 CONGRESS DR NW, AIKEN, SC 29801-3128
(803) 648-2268
Mailing address
204 WILLOW FORKS RD, LEXINGTON, SC 29073-7202
(803) 640-0548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3697
SC
Other
Enumeration date
11/11/2010
Last updated
10/15/2015
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